HEDIS

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HEDIS

HEDIS (pronounced /ˈhiːdɪs/), an acronym for Healthcare Effectiveness Data and Information Set, is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA).

Etymology

The term HEDIS is an acronym that stands for Healthcare Effectiveness Data and Information Set. It was developed by the National Committee for Quality Assurance (NCQA) to measure the performance of health plans.

Definition

HEDIS is a tool used by more than 90% of America's health plans to measure performance on important dimensions of care and service. It is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.

Related Terms

  • Managed Care: A healthcare delivery system designed to manage the cost and utilization of health services by individuals. HEDIS is often used within managed care systems to measure performance.
  • National Committee for Quality Assurance (NCQA): An organization that accredits and certifies a wide range of healthcare organizations and manages the evolution of HEDIS.
  • Performance Measure: A quantitative tool that provides an indication of an organization's performance in relation to a specified process or outcome. HEDIS is a set of performance measures.
  • Healthcare Quality: The degree to which health services for individuals and populations increase the likelihood of desired health outcomes. HEDIS measures are used to assess the quality of healthcare services.

External links

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